Evidence map›Paper›PMID 36172302›Full record

ArticleHealth science reports2022

Definition of a tool to assess shared decision-making (SDM) on women with breast cancer: A value-based approach.

Carmen Angioletti, Egidio de Mattia, Luca M Carloni, Alisha Morsella, Alessandra Fabi, Armando Orlandi, Giampaolo Tortora, Antonio G de Belvis

Abstract read
In one paragraph

Article in Health science reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Carmen AngiolettiCritical Pathways and Outcomes Evaluation Unit Fondazione Policlinico Universitario Agostino Gemelli IRCCS Roma Lazio Italy.
Egidio de MattiaCritical Pathways and Outcomes Evaluation Unit Fondazione Policlinico Universitario Agostino Gemelli IRCCS Roma Lazio Italy.ORCID https://orcid.org/0000-0002-7288-3127
Luca M CarloniUniversità di Pisa Lungarno Antonio Pacinotti Pisa Toscana Italy.
Alisha MorsellaUniversità Cattolica del Sacro Cuore-Campus di Roma Roma Lazio Italy.
Alessandra FabiBreast Precision Medicine Unit Fondazione Policlinico Universitario Agostino Gemelli IRCCS Roma Lazio Italy.
Armando OrlandiComprehensive Cancer Center, UOC di Oncologia Medica Fondazione Policlinico Universitario Agostino Gemelli IRCCS Roma Lazio Italy.
Giampaolo TortoraComprehensive Cancer Center, UOC di Oncologia Medica Fondazione Policlinico Universitario Agostino Gemelli IRCCS Roma Lazio Italy.
Antonio G de BelvisCritical Pathways and Outcomes Evaluation Unit Fondazione Policlinico Universitario Agostino Gemelli IRCCS Roma Lazio Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: In oncology, there is increasing talk of personalized treatment and shared decision-making (SDM), especially when multiple treatment options are available with different outcomes depending on patient preference. The present study aimed to define the set of main dimensions and relative tools to assess the Value brought to patients from a Breast Cancer's Clinical pathway structured according to a dynamic SDM framework. Methods: Starting from our previous systematic review of the literature, a deep search of the main evidence-based and already validated questionnaires was carried out. In the second phase, to corroborate this grid, a Delphi survey was conducted to assess each questionnaire identified for each dimension, against the following seven value-based criteria: Clinical Benefit, Safety, Care Team Well Being, Patient Reported Outcomes Measures, Green Oncology, Impact on Health Budget, and Genomic Profile. Results: The resulting 7-dimension questionnaire is composed of 72 questions. Of these, some quantitatively and objectively assess the evolution of the patient's disease state, whereas others aim to ask patients about their active involvement in decisions affecting them and to investigate whether they were free to explore their preferences. Furthermore, to frame the analyzed phenomenon at the right time, for each questionnaire section, the specific, evidence-based timing of administration is indicated. Conclusion: The resulting questionnaire is validated in its entirety and it is composed of a set of questions and relative time point for data collections to assess the Value brought to patients undertaking a Breast Cancer's Clinical pathway, structured according to a dynamic SDM framework. It constitutes a quantitative instrument to integrate patient centeredness with a personalized perspective in the care management of women with breast cancer.

Indexed as

breast cancerpatient‐reported outcomes measuresshared decision makingvalue‐based healthcare

Identifiers

PMID36172302
PMCPMC9470011

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.